| General And Pain Psychiatry Inc | |
|
36101 Bob Hope Dr Suite B-2 Rancho Mirage CA 92270-2001 | |
| (619) 838-0519 | |
| Not Available |
| Full Name | General And Pain Psychiatry Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 36101 Bob Hope Dr, Rancho Mirage, California |
| Authorized Official Name and Position | John Robinson Keltner (PRESIDENT-OWNER) |
| Authorized Official Contact | 6198380519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| General And Pain Psychiatry Inc 2730 Powhatan Ave San Diego CA 92117-2420 Ph: (619) 838-0519 | General And Pain Psychiatry Inc 36101 Bob Hope Dr Suite B-2 Rancho Mirage CA 92270-2001 Ph: (619) 838-0519 |
| NPI Number | 1245690668 |
|---|---|
| Provider Enumeration Date | 02/26/2016 |
| Last Update Date | 04/24/2016 |
| Medicare PECOS PAC ID | 4981903242 |
|---|---|
| Medicare Enrollment ID | O20160509001407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245690668 | NPI | - | NPPES |
| Provider Name | John R Keltner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740447416 PECOS PAC ID: 8729215405 Enrollment ID: I20131231000151 |
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